焦点解决短期干预技术在临床护士中的应用效果  

Effects of solution-focused brief therapy in clinical nurses

作　　者：李玉梅[1] 孙金海 Li Yumei;Sun Jinhai(Department of Nursing,the Affiliated Shanghai Pulmonary Hospital,Tongji University,Shanghai 200434,China;Department of Health Management Teaching and Research,the Second Military Medical University,Shanghai 200434,China)

机构地区：[1]同济大学附属上海市肺科医院护理部,上海200434 [2]海军军医大学健康管理教研室,上海200434

出　　处：《中华现代护理杂志》2019年第24期3097-3102,共6页Chinese Journal of Modern Nursing

基　　金：中国生命关怀协会人文护理专委员立项课题(RW2016AM17);中华医学会医学教育分会、中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018B-N14002)。

摘　　要：目的探讨焦点解决短期干预(SFBT)技术对临床护士心理弹性的影响效果。方法采用便利抽样法,于2017年11—12月以自愿报名的形式招募上海市某三级医院内科护士80名作为研究对象,按随机数字表法分为对照组和干预组各40名。对照组实施常规业务培训。干预组采用焦点解决短期干预技术,实施团体心理辅导,每周1次,共4周。采用心理弹性量表、问题解决问卷、简易应对方式量表分别在首次干预前和最后一次干预后以及干预结束后1个月进行测评。结果干预后干预组护士的心理弹性总分及各维度得分、问题解决能力及各维度得分、应对方式中的积极应对得分及应对倾向得分,均高于对照组,差异均有统计学意义(P<0.05);两组护士心理弹性总分受时间和分组的影响具有显著性差异,并且交互作用显著(P<0.05);干预后干预组护士的心理弹性总分及各维度得分高于干预前,差异有统计学意义(P<0.05)。结论实施SFBT法团体心理辅导能明显提升护士心理弹性水平,对护士的问题解决能力和积极应对的影响具有同样的效应,值得推广使用。Objective To explore the effect of solution-focused brief therapy(SFBT)method on the psychological resilience of clinical nurses.Methods By convenience sampling,80 nurses from internal medicine department in a ClassⅢhospital in Shanghai who volunteered to participate in the research were enrolled in the study and divided into control group(n=40)and intervention group(n=40)according to random number table.Routine professional training was adopted in the control group.The SFBT techniques was adopted in the intervention group,group psychological training was carried out once a week for four weeks.The Connor-Davidson Resilience Scale(CD-RISC),Chinese Version of the Social Problem-Solving Inventory(C-SPSI),Simplified Coping Style Questionnaire(SCSQ)were used before the first intervention,the last intervention,and one month after intervention in the assessment.Results After intervention,the total scores of CD-RISC and each dimensions,C-SPSI and each dimensions,"positive coping"and"positive coping tendency"in SCSQ in the intervention group were higher than those in the control group with statistical significance(P<0.05).The total scores of CD-RISC of nurses in the two groups were influenced by time and grouping,the interactive effect was significant(P<0.05).The total scores of CD-RISC and dimensions of nurses in intervention group were higher than those before intervention,and the difference was statistically significant(P<0.05).Conclusions SFBT group psychological training for clinical nurses can significantly improve the level of psychological resilience of nurses,and has the same effect on nurses'problem-solving ability and positive coping and is worth popularizing.

关 键 词：护士 心理弹性 应对方式 焦点解决短期干预 问题解决 

分 类 号：R47[医药卫生—护理学]